South Dakota Employee Application for FMLA

State:
Multi-State
Control #:
US-AHI-200
Format:
Word; 
Rich Text
Instant download

Description

This form is an application for Family and Medical Leave. It is to be filled out by an employee who is requesting a leave of absence.

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How to fill out Employee Application For FMLA?

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FAQ

The state has adopted FMLA provisions for state employees. For the 12 weeks provided under FMLA, employees may use a combination of sick, personal and vacation leave, and leave without pay. State employees earn 14 days of sick leave per year.

In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12

The Family & Medical Leave Act (FMLA) is a federal law that applies to employer organizations with 50 or more employees for 20 or more workweeks in the current or previous calendar year.

Below is a summary and descriptions of reasons that qualify for FMLA leave under current FMLA regulations.Parental Leave after the Birth of a Child.Pregnancy Leave.Adoption or Foster Care.Medical Leave to Care for a Family Member with a Serious Health Condition.Medical Leave for Your Own Serious Health Condition.More items...?

FMLA leave is unpaid leave. However, workers may choose to, or employers may require them to, substitute accrued paid sick, vacation, or personal time for FMLA leave. Substitute means that the paid leave provided by the employer will run concurrently with the unpaid FMLA leave.

Yes, both employees are eligible to take paid family leave. The employees may take PFL at the same time but are not required to do so.

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South Dakota Employee Application for FMLA